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~ ~ III IIIIIIIIIIIIIIII <br />' ~ ~~ 4 ~~(nclosure <br />Permittee Name: Charles Devereaux p~ G ~ 1989 <br />Permit No: M-78-221 <br />Operation Name: K-bar-t Pit MINED LAN D <br />Anniversary Date: 08/23/89 RECLAMATION DI'J15iO~~! <br />Please return this form with your completed Annual Report and a check or <br />money order for annual fees due, payable to the Colorado Mined Land Reclamation <br />Division, 1313 Sherman Street, Room 215, Denver, Colorado 80203. <br />- ANNUAL REPORT-s <br /> <br />- --- - ----~-„~ 7i~~ <br />~~ ~ ~~ <br /> <br />~~~ <br />Signature <br />